Complete Text (Part 22)

ectropion. IJ Tinct. cinchonse comp., fjij. Tinct. gentianse comp., fjij. Misce. Sig. : Dessertspoonful three times daily after meals. Indication: Useful in the ansemia that ac- companies this condition. I( Sodii bicarbonatis, 3j. Tinct. belladonnse, fSij. Aquee, Oj. Misce. Sig.: Use as a vaginal wash. IJ Argenti nitratis, gr. xxx. Aquse, f^j. Misce. Sig.: Apply to cervix daily with swab. Indication: Ulceration of cervix. I^ Zinci sulphatis, 3ss. Plumbi acetatis, 5ss. Misce. Sig.: Put in sufficient water and douche once or twice daily. 280 Hand-Book of Modem Treatment. IJ Potassii chloratiSj 5j. Sig.: A teaspoonful to a pint of water as a vaginal injection. Indication: Useful in simple cases. ^ Potassii permanganatiSj 3ss. Aquae, Sxv. Misce. Sig.: Vaginal injection in fetid discharges. B Aristol, 5j. Sig.: Apply freely as a dusting powder by means of a speculum every second or third day. IJ lodoformi, Sj. Acidi tannici, 5j. Misce. Sig.: Saturate a tampon with this and pack around a discharging uterus. I^ Liq. plumbi subacetatis, f^iv. Tinct. opii, f^iv. Misce. Sig.: Tablespoonful to a quart of water as a vaginal injection, three times a day, after a thorough cleansing douche. Indication: Useful in leucorrhoea with acute painful vaginitis. Landau has found injections of yeast into the vagina of great value in leucorrhoea, especially that form due to chronic gonor- rhoea. He has employed this treatment in 40 cases, and claims that in more than half all traces of discharge ceased after one or two applications. In a few cases there was considerable im- provement, and in a few cases there was none. Ordinary brew- ers' yeast was employed, diluted sufficiently with water so as to pass through a gonorrhoeal syringe. From 10 to 20 cubic centi- meters were thrown into the vagina, a tampon being then intro- duced, and the fluid allowed to remain for twenty-four hours. This injection was repeated every two or three days, and con- tinued for one or more weeks. No unpleasant effects were no- ticed, except in a couple of cases, in which itching was excited, which was relieved by soda injections. The author offers the Hand-Book of Modem Treatment. 281 following explanation of the good effects of the yeast: 1. The crowding out of the organisms producing the leucorrhoea by the overgrowth of the yeast-fungi. 2. The consumption of nutrient substances necessary to the- existence of the offending organisms. 3. The direct action of the metabolic products of the yeast- fungi. LICE. B Pulv. cocculus Indici, 3j. Ung. aquae tossr, ^j. Misce. Sig. : Rub well into the part. Indication: Used for pediculi pubis and capitis. IJ Johnson's ethereal soap, f^v. Sig.: Apply freely with hand twice daily and then bathe with warm water. Indication: Used for pediculi capitis and pubis. I^ Acidi carbolici (phenolis), 5i-3ij. Glycerini, gj. Aquae, q. s. ad f^viij. Misce. Sig.: Apply as a wash. Indication: To destroy lice or relieve pru- ritis. I^ Tinct. delphini, 3ij. Aquae colonicusis, 3ij. Misce. Sig.: Apply night and morning. Indication: For pediculi pubis. IJ Hydrarg. chloridi corrosivi, gr. xv. Acidi acetici diluti, f^viij. Aquae, q. s. ad Jxvj. Misce. Sig.: X^se freely as a wash. Indication: Used for pediculi pubis and capitis. 282 Hand-Book of Modem Treatment, LOCOMOTOR ATAXIA. ^ Liq. potassii arsenitis, ^j. Sig.: One drop in water three times a day one hour after meals, and increasing daily till puffiness below eyes, and then decrease or cut down to one-half, and so continue in anae- mic subjects. IJ Hydrarg. chloridi corrosivi, gr. V^o- Auri et sodii chloridi, gr. V»- Zinci sulphidi, gr. V»- Strychninse sulphatis, gr. Vw Misce. Sig.: To be made into a pill and one such taken every three hours. Weiss, of Vienna, says that an early symptom of locomotor ataxia is an inability of the patient to walk backward, while in other ways he may walk with rapidity and certainty. IJ Ferri lactatis, gr. xl. Ext. cinchonse, 5j. Ext. nucis vomicae, gr. viiss. Ext. gentianse, q. s. Misce et fiant pilulse no. xx. Sig.: One or two pills three times a day. IJ Antipyrini, gj. Syr. zingiber is, f^j. Aquae cinnamomi, q. s. ad f^iv. Misce. Sig.: A teaspoonful every one to four hours for three to six doses. Indication: Used in the lightning pain of locomotor ataxia. R Potassii iodidi, 5j- Aquae bullientis, f^j. Misce. Sig.: Ten drops in milk three times a day and increase until physiological effects are manifested. Indication: Used in locomotor ataxia re- sulting from syphilis or metallic poisoning. Hand-Book of Modem Treatment, 283 ^ Extract! physostigmatis, gr. x. Pulv. zingiberis, gr. xx. Misce et fiant pilulse no. xx. Sig. : One pill three times a day. I^ Potassii bromidi, 3j- Fiant tabellse compresse no. xxiv. Sig.: Two tablets every four hours. Indication: Used in laryngeal crises. Dr. S. Leduc, basing his practice on the theory that the syphilitic origin of locomotor ataxia is scarcely contested to-day, for a past history of syphilis is found in nearly all ataxics, has injected daily into the muscles of the patient's thigh 2 grammes — about 30 minims — of the following solution: — IJ Hydrarg. chloridi corrosivi, gr. iij. Sodii chloridi ( recrystalized ) , gr. iij. Aqus destillate, mocc. Misce. It is said that amelioration was at once manifest. Treat- ment was continued for periods of three weeks, followed by re- missions of fifteen days. Six years from the commencement of the treatment the patient has lost the knee-jerk, and, although some lightning pains persist, he walks well, even at night, and leads a very active life. LtJHBAOO. ^ Sodii salicylatis, S^. Potassii iodidi, 5ij. Syr. sarsaparills comp., 3j- Aqus, q. s. ad ^iij. Misce. Sig.: Teaspoonful in water three times a day after meals. IJ Antipyrini, 3j. Sodii salicylatis, 3j. Aqu«, Sij* Misoe. Sig.: One teaspoonful four times daily. 284 Hand-Book of Modern Treatment, The local treatment is important. As a liniment the fol- lowing is recommended : — I^ Methyl salicylatis, 5ij. Tinct. belladonnse, ^ij, Tinct. opii, Jij. Spiritus camphorse, ^iv, Misce et fiat linimentum. Sig.: Apply locally twice daily with light massage. B Phenacetini, 3ij. Saloli, 3ij. Misce et fiant chartulae no. xxiv. Sig.: One powder every four hours. IJ Ammonii chloridi, gr. xx. Ammonii carbonatis, gr. v. Misce. Sig.: At one dose, well diluted in water. IJ Ammonii chloridi, Siij. Liq. hydrarg. perchloridi, 5ss. Spir. chloroformi, ^ss. Infusi gentianse comp., q. s. ad ^vj. Misce. Sig.: One tablespoonful in water three times a day. The dose of ammonium chloride in either of these pre- scriptions approaches the maximum dose. IJ Phenazoni, gr. iij. Aquse destillatse, fSj. Misce. \ Sig.: Inject deeply with a long needle into painful area. Indication: Used in obstinate cases. IJ Atropinse sulphatis, gr. iVs- Morphinse sulphatis, gr. xvj. Aquae destillatse, fjj. Misce. Sig.: Inject five npnims deep into the mus- cular tissue. Hand-Book of Modem Treatment. 285 I^ Potassii iodidi, 5ss. Tinct. opii deod., 3ij. Spiritus lavandulse comp., 3j. Spiritus eetheris nitrosi, 5ss. Aquae destillatse, Jxij. Misce. Sig. : Two tablespoonfuls twice daily. Lumbago readily yields to a vigorous application of the fol- lowing ointment : — IJ Camphor-chloralis, 3j. Acidi salicylici, 3ss. Menthol, gr. xx. Pulv. capsici, 3j. 01. sinapis, gtt. \dij. Adipis lanse, 3iv. Petrolati, q. s. ad ^ij. Sig.: Apply with vigorous friction three times a day. (Sometimes substitute ol. tiglii for ol. sinapis. ) IJ Tinct. opii, 3ij. Aquse ammonise, 3j. * Tinct. cantharidis, 3iij. Ung. saponis, 3x. Misce. Sig.: Apply by rubbing thoroughly. B Tinct. iodi, 3ij. Tinct. aconiti radicis, 3iij. Spts. chloroformi, ^S9. Linimenti saponis, q. s. ad 5iij« ' Misce. V Sig. : Apply locally several times daily. I^ Vini colchici radici, f3ij. Sodii salicylatis, 3iv. Potassii iodidi, f3ij. Essen tiae pepsini, fjij. Aquae, fjss. Misce. Sig.: A teaspoonful in water after meals. Indication : Used in gouty or rheumatic suD- jects. B Empl. belladonnae. Sig.: Apply locally. 286 Hand-Book of Modem Treatment. LUPUS. Arthur H. Buck reports a case of lupus vulgaris of twelve years' standing treated with urea and cured. The patient was one who may be described as having been saturated with tubercle, and who possessed the tubercular diathesis to a large degree. His habits and diet have been opposed to the cure of any tu- bercular trouble, and during the process of treatment these con- ditions were not altered in any way. Lupus is perhaps the most intractable form of tuberculosis, especially to what are known as general or constitutional remedies. The lesion being on the sur- face, it was carefully watched, and between April 23d and May 21st the disease seemed to almost melt away. Xo bad s}Tnptoms occurred even with urea 1 drachm t.d.s., but, rather, the patient felt able to enjoy life for the first time for years. The treatment was begun with 30 grains t.d., and gradually increased to a drachm. IJ Liquoris potassii arsenitis, f^j. Sig. : One drop in water after meals and •gradually increase to three drops. If puf!in«ss of eyelids or colicky pain of bowels develops, reduce dose one-half. Indication: Used in anaemic and debilitated subjects. B Acidi salicylici, gr. x. Collodii ilexilis, f^j. Misce. Sig.: Apply locally. I^ Formaldehydi (40 per cent, sol.), fSj. Sig.: Apply to diseased area with a small cotton swab, first cocainizing the part. Indication: As cauterant. To be applied every second or third day after removing scales by poultices. B Olei myrrhse, f^ij. Syrupi ferri iodidi, f.^^ss. Misce et pone in capsulas no. xlviij. Sig.: One capsule two hours after meals. Indication: In debilitated and anaemic sub- jects. Hand-Book of Modern Treatment. 287 I( Acidi salicylic!, Siiss. Creosoti, 3v. Cerati simp., 5iiiss. Cerse albi, gr. Ixxv. Misce. Sig. : Use externally. MALARIA.— See Fever. MAMMABY INFLAMMATION.— See Abscess. The treatment in the prevention of mammary abscess should really begin during the latter months of pregnancy by manipulating and drawing out the nipples and bathing them in alcohol or borax-water to harden the epithelium. Absolute cleanliness is required; frequent washing of the nipples with soap and water, followed by a saturated solution of boric acid, keeping gauze pads saturated with this solution wrapped around the nipples during the day and sterilized vaseline applied during the night. As an application, also, the following combination is recommended : — I^ Tannici (glycerite), 3ij. Alcoholis, 5j- Aquae rosae, q. s. ad ^iij. Misce. Sig.: To be applied constantly on sterile gauze. For the pain give opium or codeine, or morphine hypo- dermically if the pain is unbearable, and apply lead-and-opium wash locally. Saline cathartics lessen the hypersemia" of the breasts. Belladonna ointment applied locally often affords com- fort. Ice-bags are of great importance, and should be employed in order to prevent pus-formation. Support by bandages is necessary, employing the figure-of-eight in combination with the "straight-around" bandage, making gentle compression as well as support. Bacon's method of massage may be employed by beginning in the axilla and rubbing under the clavicle, gently at first and gradually increasing the pressure. The stroking is all directed away from the breast, and not toward it. The pur- 288 Hand-Book of Modem Treatment. pose is to facilitate the flow of the blood and lymph back from the breast and to accelerate the flow in the efferent vessels. Yen' useful in acute inflammation with tenseness and of pain. Active saline purge at beginning of treatment: — R Ung. heWsidonnsB, 5j- Ung. hydrargyri, 3iv. Ichthyoli, f3iv. Cerati plumbi subacetatis, Sj- Misce. Sig. : Apply to breast freely, and employ tight breast-binder. Indication: Used in acute inflammation, ac- companied with tenseness and pain. Give sa- line purge at beginning of treatment. B U'ng. belladonnae, 5j- Pulv. camphorse, Sss. Misce. Sig.: Apply locally, supporting the breast with a bandage. I^ Liq. plumbi subacetatis, ^ij. Tinct. opii, 3ij- Misce. Sig.: Add to one quart of water, and keep constantly applied to breast on soft cloths. Indication: Used to abort acute inflamma- tion. Keep the breasts tightly bandaged. B Hydrarg. chloridi mitis, gr. x. Pulv. jalapse, gr. x. Sig.: Take at once and at one dose. Indication: Useful as a brisk purge for incipient mastitis. MANIA, ACUTE. Any physician who has not employed veratrum viride in acute mania has missed the best agency which is available for the euro of these distressing cases. It is one of the greatest ad- vantages a physician can have to see a feverish sufferer, under the application of this remedy, pass from absolute sleeplessness into a state of quiet rest. That many cases which would other- Hand-Book of Modern Treatment, 289 wise go on to death are saved by the use of this remedy is a fact beyond question. The fear which many practitioners have of using veratrum viride, on account of the varying strength of its various preparations, must, of course, be met, when the drug is employed, by the use of Norwood's tincture. IJ Fluidextracti cimicifugse, Sss. Sig. : Twenty minims in water three times daily one hour after meals. Indication: Used in cases occurring after confinement, not due to permanent causes. IJ Paraldehydi, fjss. Sig.: Thirty to fifty minims in an ounce or two of water by the rectum. IJ Potassii bromidi, 5j. Tinct. cannabis Indicse, f3j. Syrupi simplicis, fjij. Aquse destillatse, q. s. ad fjiv. Mi see. Sig.: A tablespoonful thrice daily. Indication: Used in restlessness and period- ical mania. I^ Hyoscini hydrobromatis, gr. Vioo* Sig.: This dose by mouth in pill or hypo- dermieally. Indication: Used to quiet excitement and produce sleep in violent cases. I^ Trional, 3vj. Fiant chartulse no. xij. Sig.: One powder at bedtime. I^ Glandulee thvroidse siccse. Sig. : Five grains three times daily, and this treatment continued for twenty to thirty days. MARASMUS. Arsenic is a drug too little employed in this aflPection, as it is prompt and efficient in selected cases. The arsenate is the preferable form of the drug, as given in this form it has a local 19 290 Hand-Book of Modern Treatment. stimulating effect on the mucous membrane of the stomach and bowels. The dose of this salt is ^/zqq of a* grain given three times a day after feeding. It controls the nausea and enlivens the pale mucosa of the stomach, but its good effects do not cease here, for it passes into the bowel, and a certain portion, being absorbed, is carried to the liver ; being again eliminated in the bile, it is again absorbed and secreted in the bowels. It stimulates absorption and assimilation. It is, moreover, a tonic to the general system. IJ Syr. ferri iodidi, 5j- Sig. : Three to five minims thrice daily after meals, well diluted in water. IJ Olei morrhuse, fSij. Acacise, 3iv. Extracti pancreati, f3ij. Aquse men thee viridis, f^ij. Aquae, q. s. ad f^viij. Mi see. Sig.: A teaspoonful three times a day. Indication : Used in strumous tubercular in- fants. B Olei morrhuse, f^ij. AquflB calcis, fSiv. Syr. calcis lactophosphatis, q. s. ad Siv. Mi see. Sig.: A teaspoonful two or three times Indication: Used in tubercular and stru- mous children. I^ Olei morrhuae, 5xvj. Sig.: Anoint the body two or three times daily. Indication: Useful in struma and atrophy from indigestion or improper feeding. I^ Hydrarg. cum cretse, 3j. Fiant chartulse no. xxx. Sig.: One powder three times daily, also anoint the body with codjiver-oil. Indication: Used in syphilitic marasmus. Hand-Book of Modem Treatment, 291 BIEASLES.— See Fever. Administer small initial doses of calomel, preceded by a glycerine suppository. The severe vomiting is usually best con- trolled by cracked ice, lime-water, or bismuth. The following is recommended to increase the elimination by the skin and kidneys : — I^ Potassii citratis, 3ij. Vini ipecacuanhse^ 3ij. Tinct. opii camph., 3iij. Syr. tolutani, 3j- Aquae cinnamomi, q. s. ad ^iij. Mi see. Sig.: One teaspoonful every three hours. Indication: For the cough of measles. It is stated that good results may be obtained in the treat- ment of measles by rubbing the body with a salve, morning and night, consisting of : — I^ Ichthyoli, 5j. Lardi, 5iij. Misce. This practice was suggested by the favorable results ob- tained by the same treatment in variola. Only one or two rub- bings seem to be necessary to reduce the temperature to normal, when the patches gradually grow pale and disappear. It re- quires only four or five days to complete the results, after which a warm bath removes what is left of the salve. I^ Tinct. opii camph., fSiss. Spt. aetheris nitrosi, fjj. Syrupi ipecacuanhae, f3j. Syrupi scillae, fjss. Liq. potassii citratis, q. s. ad f^iij' Misce. Sig.: Teaspoonful every two hours for a child of four years. Indication: For cough and measles. I^ Liq. ferri et ammonii acetatis, fjviij. Sig. : Two or three teaspoonfuls after meals. 292 Eand-Book of Modern Treatment, IJ Potassii bromidi, gr. xxiv. Chloralis, gr. viij. Syrupi acaciee, f3ij. Aquae, q. s. ad fSj. Misce. Sig. : Teaspoonful iu water not oftener than twenty-four hours. Indication: Used for restlessness, insomnia, and headache. IJ Ammonii chloridi, 3j. Syrupi simplicis, 3ss. Aquse menthse pip., q. s. ad %\i}. Misce. Sig.: A teaspoonful every four hours to a child three or four years old. Indication: Used as an expectorant when bronchitis is present. MELANCHOLIA. I( Zinci Valerianae, 3ss. Ferri Valerianae, 3ss. Quininae Valerianae, 3ss. Misce et fiant pilulae no. xxx. Sig.: One pill three times daily. I^ Acidi nitrohydrochlorici, U. S. P., f3iv. Sig.: Two to five drops in one-half glass water through a glass tube, after meals. Indication: Used in melancholia with oxa- luria. B Olei phosphorati, m xxiv. Olei morrhuae, fjj. Misce et pone in capsulas no. xxiv. Sig.: One capsule two hours after meals. Indication: Used in debilitated subjects. B Paraldehydi, 5j. Sig.: Thirty to forty minims at bedtime. Indication: Used for relief of insomnia. Hand-Book of Modern Treatment, 293 I^ Tinct. ferri chloridi, f^ij. Sig. : Ten lo fifteen drops through a glass tube after meals. Laxatives must be used so that constipation does not result. MENINGITIS.^ B Ung. Cred6, gj. Sig.: An inunction of this applied^ one drachm twice